Active NPI
PA Labs Inc
- Clinical Medical Laboratory
- Fort Wayne, IN
National Provider Identifier
1346421088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PA LABS INC
- Practice address
- 7635 W Jefferson Blvd
Fort Wayne, IN 46804-4133 - Phone
- (765) 471-5605
- NPI assigned
- Nov 23, 2007
- Organization subpart
- Yes
- Parent organization
- LABORATORY CORPORATION OF AMERICA HOLDINGS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William B Hayes
- Title
- Cfo Evp Treasurer
- Phone
- (800) 222-7566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
7635 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
National Provider Directory
National Provider Directory- Part of
- Labcorp of Am Holdings-KS
Locations
899 Aigner Dr
Boonville, IN 47601
Phone (812) 473-7273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201046400000",
"number": "1346421088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2240",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272162240",
"telephone_number": "800-222-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7635 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044133",
"telephone_number": "765-471-5605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PA LABS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LABORATORY CORPORATION OF AMERICA HOLDINGS",
"enumeration_date": "2007-11-23",
"last_updated": "2008-01-23",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CFO EVP TREASURER",
"authorized_official_telephone_number": "800-222-7566",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.